UNIVERSITY OF GHANA

OFFICE OF RESEARCH, INNOVATION AND DEVELOPMENT

APPLICATION FORM FOR RESEARCH AFFILIATES

PLEASE TAKE NOTE THAT YOU MUST APPLY AT LEAST ONE MONTH BEFORE YOURINTENDED

DATE OF ARRIVAL AT THE UNIVERSITY OF GHANA

Before you submit this form, please check that you have attached the following:

  1. Certified Copies of certificates
  2. Full CV
  3. One passport picture uploaded unto this form
  4. Letter of Recommendation from Parent Institution
  5. Letter of Acceptance from Host Department/ Unit
  6. Evidence of Funds for intended stay and research in Ghana (e.g. award letter for grant etc)
  7. Research Summary of not more than 3 pages, single spacing, Times New Romans 12 Font; also attach a 1 page budget for your stay and research in Ghana as well as a workplan

1. Personal Details:

2. Previous Education:

Name of Colleges/ Universities Attended / Dates
(i.e. from xxx –to xxx) / Degree(s) obtained / Class/ Division

3. Past/ Present Employment:

Name of Employer / Dates
(i.e. from xxx –to xxx) / Position / Main responsibilities

4. Affiliation Details

a. Department/ Unit to which affiliation is sought………………………………………………………………

b. Intended duration of research in Ghana(please provide dates i.e. day/ month/ year)

From------To ------

6. Details of Research project to be undertaken

(Attach as a separate document, a Research Summary of not more than 3 pages, single spacing, Times New Romans 12 Font; also attach a 1 page budget for your stay and research in Ghana as well as a workplan)

5. Sponsorship Information

Name of Sponsor(s) / Grant/ Sponsorship Amount / Expiry date of Award

6. Signatureof Applicant

7. Endorsement by Head of Department in Parent Institution

8. Application Checklist

Please check the appropriate box to indicate the additional documentation attached to this application:

ORID/RAF-Version 2/12-13

☐Certified Copies of certificates☐Full CV

☐One passport picture uploaded unto this form☐Letter of Recommendation from Parent Institution

☐Letter of Acceptance from Host Department/ Unit☐Evidence of Funds for intended stay and research

☐Research Summary of not more than 3 pages

ORID/RAF-Version 2/12-13

For Official Use Only

Date Received: Application Number:

Date Processed: Decision: Date:

PLEASE COMPLETE THIS FORM AND RETURN TO BY EMAIL TO THE OFFICE OF RESEARCH, INNOVATION AND DEVELOPMENT (ORID)

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